摘要
目的探讨去大骨瓣减压颞肌贴敷术治疗大面积脑梗死的效果。方法选取我院2011年3月~2017年3月收治的70例大面积脑梗死患者作为研究对象,将患者随机分为保守组与手术组,每组35例。保守组采用常规内科治疗方法,手术组采用去大骨瓣减压颞肌贴敷术治疗方法。比较两组的脑梗死病灶体积变化情况、总并发症发生率、死亡率、远期疗效。结果手术组治疗后1、2、4周的脑梗死病灶体积均小于保守组,差异有统计学意义(P<0.05)。手术组的总并发症发生率及死亡率均低于保守组,差异有统计学意义(P<0.05)。随访半年,手术组的功能恢复良好率高于保守组,功能恢复不良率低于保守组,差异有统计学上意义(P<0.05)。结论大面积脑梗死患者采用去大骨瓣减压颞肌贴敷术治疗方案比常规内科治疗的临床效果更优。
Objective To explore the effect of decompression of large bone flap and roofing of temporal muscle treating large area cerebral infarction.Methods A total of 70 cases with large area cerebral infarction treated in our hospital from March 2011 to March 2017 were selected as the research subjects,and they were randomly divided into the conservative group（35 cases） and the operation group（35 cases）.The conservative group was treated with conventional medical treatment,while the operation group was treated with arge bone flap and roofing of temporal muscle therapy.The volume change of cerebral infarction focus,the total incidence of complications,mortality and long-term efficacy were compared between the two groups.Results The volume of cerebral infarction focus in the operation group after 1,2 and4 weeks treatment was smaller than that of the conservative group,and the differences were statistically significant（P〈0.05）.The total incidence of complication and mortality rate in the operation group were lower than those in the conservative group（P〈0.05）.After half a year of follow-up,the good rate of functional recovery in the operation group was higher than that of the conservative group,and the bad rate of functional recovery was lower than that of the conservative group,and the differences were statistically significant（P〈0.05）.Conclusion Clinical effect of large bone flap and roofing of temporal muscle treating large area cerebral infarction is better than conventional medical treatment.
作者
周希汉
黄瑞宏
黄陈铭
ZHOU Xi-han;HUANG Rui-hong;HUANG Chen-ming(The Second Hospital of Sanming City in Fujian Province,the Fifth Clinical College of Fujian University of Traditional Chinese Medicine,Sanming 366000,Chin)
出处
《中国当代医药》
2018年第22期82-84,87,共4页
China Modern Medicine
基金
福建省三明市科技项目(2016-S-3)
关键词
大面积脑梗死
大骨瓣减压
颞肌贴敷术
Large area cerebral infarction
Decompression of large bone flap
Roofing of temporal muscle
